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TREATMENT OF RADIOTHERAPY FOR SERVIKS CANCER WITH SEPARATION MORE THAN 20 CENTIMETERS USING COBALT-60 AT UNIT RADIOTHERAPY INSTALLATION RADIOLOGY RSUP DR. KARIADI SEMARANG Galang Harta Widjaya; Fatimah Fatimah; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3975

Background: Cervical cancer is a type of cancer that emerges from the cervix. In the early stages of the tumor, treatment therapy will be performed surgically on organs affected by cancer cells, at an advanced stage will be done adjuvant therapy with curative goals through a combination of chemotherapy, surgery, and radiotherapy. In radiotherapy treatment is done with several techniques such as Brachyterapi, IMRT, 3DCRT, and 2D with external aircraft radiation modality with Linac (Linear Accelator) and Cobalt-60. For Brachyterapi (internal radiation) technique, the radiation source is directly placed on the target tumor by using the after loading technique generally, whereas the external radiation techniques of 3DCRT and IMRT are generally performed on external radiation plane using MLC (Multi leaf Collimator) by following the target shape tumors resulting from CT Simulator and TPS (Treatment Planning System) calculations. For IMRT alone the technique used is almost the same as 3DCRT technique. In cobalt-60 is generally used for the treatment of radiation therapy has an average energy of 1.25 MV. At 1.25 MV cobalt energy with 10x10 cm field area will get maximal energy at depth (d max) 0.5 cm and energy will decrease to half (d half) at a depth of 11 centimeter on water media. So that in planning of radiation using cobalt-60 plane have limited separation diameter less than 20centimeter.Methods: This type of research is qualitative with case study approach. the data was collected in October-December 2017 at radiotherapy Installation of Dr. Kariadi General Hospital Semarang by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: The results of this study demonstrate that the management of cervix cancer radiation utilizing 2D procedure in radiotherapy installation of Dr. Kariadi General Hospital Semarang includes patient examination, planning medical physics, verification and radiation treatments. 2D techniques are used pupose to paliative radiation, homogenity of dose and the location of the target volume is close to the Organ at Risk. Field radiation evaluation was performed before first and third irradiation, patient evaluation after five times of radiation and evaluation after 25rd radiation.Conclusion: The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation s25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation 25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation

UJI QUALITY CONTROL PESAWAT MAGNETIC RESONANCE IMAGING SIEMENS MAGNETOM CONCERTO 0,2 TESLA DI INSTALASI RADIOLOGI RSUD DR KANUJOSO DJATIWIBOWO BALIKPAPAN Luh Deva Wedayanti; Nurdopo Baskoro; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4465

Background : Radiology quality control is a part of radiology quality assurance which is directly linked with physical measurements of facility performance and indirectly linked with the expected image quality. The advantage of proceeding with the performance test on MRI device are the consistency of operational testing that integrated of all MRI system and producing high quality image, reducing the possibility of artifact appearance, and also preemptive identification of potential problems.Methods : The method of this Research is Qualitative Survey. The researchers are doing the survey on Quality Control test on MRI device brand Siemens Magnetom Concerto 0,2T on Radiology department of RSUD. DR. Kanujoso Djatiwibowo Balikpapan.Results : The whole result of this research shows that MRI device on RSUD. DR. Kanujoso Djatiwibowo Balikpapan has yet to fulfill the international standard.Conclusion : The whole result of this research shows that MRI device on RSUD. DR. Kanujoso Djatiwibowo Balikpapan has yet to fulfill the international standard on 5 parameter, such as the SNR testing, Artifact Analysis, Geometric Accuracy, High Contrast Resolution and Low Contrast Resolution. On the other hand, 2 other parameter such as slice thickness accuracy and slice position accuracy of the MRI device has already fulfill the standard and have to improve on the 5 parameter which hasn’t fulfill the factory and international standards

Analisis Nilai Velocity Encoding terhadap Informasi Citra Magnetic Resonance Venography pada Penderita Tumor Kepala Zita Hadiah Pratami; Sudiyono Sudiyono; Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3175

Background: Brain Magnetic Resonance Venography (MRV) is a MRI examination of veins without contrast media. Phase Contrast (PC) MRV sequences uses phase shift protons that flow along the magnetic gradient into needed area (Field Of View). PC MRV sequences use bipolar gradient to compensate the proton spin speed by adjusting the amplitude. The study aims to determine the Velocity encoding Value (VENC) to MRV image information on brain tumor patient and to determine the best image information through a technic to visualize the veins in brain tumor patient.Methods: This study was a quantitative study with quasi experimental approach. Data were collected in Radiology Department of Dr. Moewardi Surakarta Hospital on May to June 2016. Data was collected using questionnaire filled by three respondents. Data were analyzed statiscally using Friedman test and Wilcoxon test to determine the difference of value of Velocity Encoding (VENC) between 10 cm/sec, 15 cm/sec, 20 cm/sec, as well the mean rank test used to find out the best image information.Results: The statistical test showed that there were significant differences in image information of MRV, between VENC 10 cm/sec, 15 cm/sec and 20 cm/sec with p value was 0.032 (p˂0,05). The best result of MRV image information was when VENC value of 20 cm/sec used, indicated by the mean rank which was 2.83.Conclusion: There were significant differences of MRV image information between VENC 10 cm/sec, 15 cm/sec and 20 cm/sec. The best result of MRV image information was when VENC value of 20 cm/sec used, to visualize better anatomy of the veins, so that the presence of tumor thrombus in the veins can be ensured.

PENGGUNAAN VARIASI FILTER PADA WINDOWING LUNG PADA PEMERIKSAAN CT SCAN THORAX Sudiyono Sudiyono; Rini Indrati; Muhammad Riefki Jadmika
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5561

Background: Filter is an image processing parameter applied to raw data used to determine the attenuation value of each pixel of CT Scan imaging, and it serves to minimize the occurrence of star patterned streak artifacts formed on the CT images. The use of typical Y-sharp or Smooth filters is common for the thoracic CT imaging in the clinic. Yet, the studies to compare which of the typical filters that provide a good imaging technique were clinically limited to find in practices. The purpose of this study is to know wheter there is a difference or not in the anatomical image resolved amongst the thoracic CT images when using the Y-Sharp and Smooth filters; and to determine which of the filter that produces the better image quality by comparison.Methods: This is quantitative research with approached the pre-experimental design with the static-groups of comparison. Image data were taken from the raw data of the 10 patients who underwent CT Scan Thorax examinations. All the image data were reconstructed by means of using the Y-Sharp and Smooth filters. Assessment of the images were performed by 2 radiologists. The Cohen's Kappa was used for image evaluators agreement where the Wilcoxon Test was applied to test the hypotheses.Result: The result of this study showed that there is a significant difference in anatomical organ visualization of the thoracic CT images between filter the Y-Sharp and Smooth filters with p-value 0.005. The use of Y-Sharp filter is better as it produces a high spatial image resolution.Conclusion: The anatomical organs of the thoracic CT images are visually reproduced when the Y-sharp filter is employed. The comparison between the two different filter uses deems significance.

The Opacity of Kidney in Nephrogram Phase with Different Urea and Creatinine levels in Patients Who Undergoing Intravenous Pyelography Examination Sudiyono Sudiyono; Dwi Rochmayanti; Asri Indah Aryani
Jurnal LINK Vol 10, No 2 (2014): Mei 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

The examination of intravenous pyelography (IVP) is one of the tests carried out with the aim to examine abnormalities of urinary tract anatomy and physiology. The opacity of urinary tract anatomy and function of the kidney, especially on an X-ray, is influenced by serum urea and creatinine levels of the patients prior to conducting the IVP examination. The study was an observational survey with retrospective approach. Purpose of this study was to describe the opacity of kidney picture in Nephrogram phase with different urea and creatinine levels. Urea and creatinine data were obtained from medical records of patients who underwent radiological examinations in Dr. Moewardi Hospital in 2013. The nephrogram phase imaging picture was taken from the document of Computed Radiography. The study sample was 41 patients. Data of overview kidney opacity in nephrogram phase were analyzed with Matlab software to get the value at the point calyces Pixel kidney (ROI). Research results revealed that 32 p atients (78%) of 41 patients had laboratory results of urea levels higher than normal (8-25 mg/100 ml) and 34 patients (83%) had normal creatinine levels (0.6 to 1.2 mg/ 100 ml). The results of test matlab found that opacity kidney picture nephrogram phase in patients with urea level higher than normal had a decrease of Pixel value (65220 pix.value) when compared to patients with normal urea levels (65231 pix. values ). Patients with creatinine above 1.2 mg/ 100 ml had a higher Pixel value (65239 pix.value), comparing to patients with normal creatinine levels (65219 pix.value). Further research is expected to gain more understanding. It is recommended that patients' levels of urea and creatinine should be checked in 48-72 hours before the time of IVP test, and interventions to decrease these levels should be implemented before conducting the test.

User Satisfaction Performance Analysis Of Midwives And Nurses Graduate Hospital In Semarang City And County Sri Wahyuni; Wien Soelistyo Adi; Sudiyono Sudiyono
Jurnal LINK Vol 9, No 3 (2013): September 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Quality or the quality of graduates is very important so as to provide a positive impact on the change and the prospect of graduate nursing and midwifery in the future. The changes are expected to happen to nurses and midwives in the future is as a figure of professional nurses and midwives, to improve the quality of health service quality so as to give satisfaction to masyarakat.Tujuan research is Knowing user satisfaction on the performance of graduates of midwife-nurse at City Hospital and the District of Semarang. This study is correlational research with cross sectional approach. The research instrument used structured questionnaires Total sample 140 respondents (patients), and 70 assessments of the respondents (supervisor) on graduates (midwives and nurses) working in the department of Dr Kariadi Semarang, Semarang Tugurejo Public Hospital and the hospital district Ambarawa Semarang. the purposive sampling technique sampling with proportional allocation. Bivariate analysis using Pearson product moment test. The results show that the graduates have a long working period ( 5 years) that a number of 44 (62.9%), with a Diploma III education. There was a strong correlation between the perception of the user (and the patient's immediate supervisor) about the quality of health worker's satisfaction with the results of the p value 0.0001 persessi the higher the quality, the higher the satisfaction. Needs to be done coaching, motivation to midwives and nurses to improve the performance of health care based on competence good knowledge, attitudes and skills, so as to give satisfaction to the user.

Radiation Dose Acceptence on Thorax Photos at Adult Patient Dwi Rochmayanti; Darmini Darmini; Sudiyono Sudiyono
Jurnal LINK Vol 10, No 3 (2014): September 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

This study aims to describe wheter or not the patients' chest x-ray in hospital over Semarang are already has an appropriate radiation dose. This quantitative study was conducted with descriptive analysis. Data were collected by random sampling technique. The method in the measurement of patient dose was using Thermoluminesensi Dosimean meter (TLD) which is placed at the central point (CP). Profile picture over of chest radiation dose in adult patients to the 1st hospital was an average of 0.2139 mGy , 0.0758 mGy in 2nd hospital, and 0.3548 mGy in 3rd hospital . From the overall sample, the average adult chest x-ray dose was 0.1731 mGy. From these data it is concluded that the dose was still below the reference dose (0.4 mGy) , but the application of radiation protection programs and quality control diagnostic tool should still be on the run.

Analisis Kuantitatif Rekam Medis Pasien Rawat Inap Di Bangsal Mawar RSUD Ungaran Irmawati Irmawati; Ahmad Danuri; Sudiyono Sudiyono; Fauzia Rahmawati
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Semarang

Ketidaklengkapan pengisian rekam medis memberikan dampak yang tidak baik bagi mutu rumah sakit itu sendiri maupun bagi proses pelayanan kesehatan kepada pasien. Misalnya diagnosis tidak terisi maka hal ini tidak akan bisa langsung untuk dilakukan koding sehingga untuk pengajuan klaimpun akan terhambat. Jenis penelitian ini adalah penelitian survey deskriptif. Metode pengumpulan data dilakukan dengan metode observasi/pengamatan, studi dokumentasi. Data dianalisis menggunakan analisis deskriptif dan disajikan dalam bentuk tabel check list. Hasil penelitian diperoleh bahwa di RSUD Ungaran melakukan analisis kuantitatif hanya jika ada permintaan. Analisis kuantitatif dilakukan oleh petugas assembling. Pada penelitian ini jumlah rekam medis yang diteliti sejumlah 97 dokumen. Penelitian ini hanya diambil khusus bangsal mawar. Dari keempat didapatkan rata-rata dalam kelengkapan pengisian menurut review identifikasi sejumlah 75,22%; review laporan penting (diagnosis) sejumlah 82,53%; review autentikasi sejumlah 73,10%; dan review pencatatan 28,75%. Hendaknya dilakukan sosialisasi tentang pentingnya mengisi rekam medis dengan baik dan benar, dan review kelengkapan rekam medis itu tidak hanya dilakukan ketika ada permintaan saja, namun secara periodik.

Tinjauan Pelaksanaan Kegiatan Sensus Harian Rawat Inap Di Rumah Sakit Umum Daerah Kota Salatiga Elise Garmelia; Sri Lestari; Sudiyono Sudiyono; Cory Puspa Sari Dewi
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Semarang

Sensus harian rawat inap adalah kegiatan yang rutin dilaksanakan di rumah sakit yang menghitung jumlah pasien yang dilayani di unit rawat inap mulai pukul 00.00 hingga 24.00 WIB oleh petugas yang terdapat di bangsal perawatan. Tujuan dari penelitian ini yaitu meninjau pelaksanaan sensus harian rawat inap dari segi faktor manajemen 6M, berdasarkan SPO sensus, alur, ketepatan waktu pelaksanaan serta hambatan yang muncul. Jenis penelitian adalah deskriptif. Metode pengambilan data dengan wawancara dan observasi partisipasi aktif. Sampel yang digunakan bangsal flamboyan RSUD Kota Salatiga selama dua minggu. Kegiatan sensus di bangsal flamboyan antara sensus manual dan SIMRS mengalami perbedaan jumlah pasien yang signifikan. Alur yang diterapkan tidak sesuai dengan SPO sensus. Ketepatan waktu entry sensus tidak dilakukan mulai pukul 00.00 – 24.00. Pelaksanaan sensus menurut faktor manajemen 6M yaitu faktor Man kualifikasi pelaksana belum memenuhi kriteria, Money tidak adanya insentif dalam pelaksanaan sensus karena sensus masuk kegiatan pokok rawat inap, Material sudah tidak diterapkan lagi form sensus di rumah sakit, Machine SIMRS yang digunakan sudah baik akan tetapi untuk pengguna SIMRS tersebut perlu dilakukan evaluasi, Methods sensus tidak dilaksanakan sesuai SPO, dan Market pihak pimpinan rumah sakit tidak terlalu membutuhkan data sensus harian rawat inap.

APPLICATION OF THE CONE BEAM COMPUTED TOMOGRAPHY (CBCT) MODALITY WITH WEIGHT BEARING TECHNIQUE TO IDENTIFY OSTEOARTHRITIS (OA) IN THE KNEE JOINT IM Dwitya Surya Wrddhi Putra; Sudiyono Sudiyono; Kasimin Kasimin
Journal of Applied Health Management and Technology Vol 4, No 1 (2022): January
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

ABSTRACTBackground : Osteoarthritis (OA) is a degenerative joint disease that causes inflammation of the cartilage due to the load that is often received by the joints. The knee joint is a part that is often affected by OA. Radiographic and CT examinations can be used to check for OA of the knee. Radiographic examination has the advantage of optimally displaying OA because the examination is carried out under weight bearing conditions, and CT is superior in displaying anatomical details due to cross sectional and 3D reconstruction. Technological developments present Cone Beam CT (CBCT) weight bearings that combine the advantages of radiographic and CT examinations. The purpose of this study is to determine the role and benefits of CBCT weight bearing on knee joint image information in cases of OA.Method : This type of research is literature review research with a narrative review approach. The databases used in the review articles include Science Direct, ProQuest, PubMed, DOAJ, Google Scholar, Wiley Online Library, ISI Web of Knowledge, and the Oxford Journal. The articles that have been obtained will be processed in tabulated form for later extraction.Result : The results of this study indicate that weight bearing is able to assess degeneration causing internal rotation in the range of +/- 2.8-3.1o, lateral patellar shift up to +/- 0.4 mm, joint space width (JSW) up to +/- 0.5 mm, meniscal extrusion (ME) up to +/- 10.2 mm. Conclusion : CBCT is used to obtain volumetric and cross sectional 3D knee images, in order to obtain images with high spatial resolution with low doses, detailed bone structure images, short scan times, visualization of narrowing and progression of OA in JSW clearly, visualization of OA in the menisci, as well as visualizing the complexity of the joint and soft tissue images so that OA is easily identified.

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